ALICIA MODICA (NPI# 1811136658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811136658 |
| Entity Type | Individual |
| Full Name | ALICIA MODICA |
| Practice Address |
45012 W Honeycutt Ave Maricopa AZ 85239-2842 |
| Practice Telephone | 5205605100 |
| Practice Fax Number | 5205685151 |
| Mailing Telephone | 5205685100 |
| Mailing Fax Number | 5205685151 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 14N00000X | AZ | Emergency Medical Service Providers |
| Street Address |
45012 W HONEYCUTT AVE |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85239-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043331275 | Maricopa Unified School District | Local Education Agency (LEA) | 45012 W Honeycutt Ave, Maricopa, AZ 85239 | 2007-04-03 |
| 1477785517 | Christa Lynn Smith | Licensed Practical Nurse | 45012 W Honeycutt Ave, Maricopa, AZ 85239-2842 | 2009-08-21 |
| 1730329095 | Angela Hacker | Occupational Therapist | 45012 W Honeycutt Ave, Maricopa, AZ 85239-2842 | 2009-02-26 |
| 1649410085 | Brandy Dillahunty | Specialist | 45012 W Honeycutt Ave, Maricopa, AZ 85239-2842 | 2009-02-25 |
| 1033359518 | Hazel Leyan Scott I | Specialist | 45012 W Honeycutt Ave, Maricopa, AZ 85239-2842 | 2009-02-24 |
| 1669612354 | Maria Isabel Hernandez | Specialist | 45012 W Honeycutt Ave, Maricopa, AZ 85239-2842 | 2009-02-20 |
| 1942449657 | Thoa Pham | Specialist | 45012 W Honeycutt Ave, Maricopa, AZ 85239-2842 | 2009-02-19 |
| 1396984647 | Renee J Mosel | Specialist | 45012 W Honeycutt Ave, Maricopa, AZ 85239-2842 | 2009-02-10 |
| 1447498126 | Alice Valencia | Specialist | 45012 W Honeycutt Ave, Maricopa, AZ 85239-2842 | 2009-02-03 |
| 1942454822 | Myesha Maryruth Calhoun | Licensed Practical Nurse | 45012 W Honeycutt Ave, Maricopa, AZ 85239-2842 | 2008-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639393176 | Scott Thomas Sutton | Dentist | 20046 N John Wayne Pkwy, Suite #105, Maricopa, AZ 85239 | 2007-04-13 |
| 1205059003 | Nicole Myhre | Social Worker | 35906 W Merced Street, Maricopa, AZ 85239 | 2007-04-10 |
| 1033273966 | Troy Young | Respite Care | 43241 W. Estrada Street, Maricopa, AZ 85239 | 2006-12-22 |
| 1275693897 | Lee Ann Bieber | Respite Care | 44571 W Granite Dr, Maricopa, AZ 85239 | 2006-12-12 |
| 1659478550 | Trevor W Lines | Dentist | 21300 N John Wayne Pkwy #108, Maricopa, AZ 85239 | 2006-09-20 |
| 1841226271 | Az. Spine & Acupuncture Center LLC | Chiropractor | 19428 N. Maricopa Rd., Suite C1, Maricopa, AZ 85239 | 2006-06-25 |
| 1659326163 | Maricopa Family Health Center LLC | Family Medicine | 44400 W. Honeycutt Rd., B-101, Maricopa, AZ 85239 | 2006-05-23 |
| 1124070917 | Russell Adam Webb | Chiropractor | 19428 N Maricopa Rd, Suite C1, Maricopa, AZ 85239 | 2006-05-17 |
| 1003868506 | Pinnacle Maricopa, LLC | Physical Therapist | 21300 N. John Wayne Parkway, #107, Maricopa, AZ 85239 | 2006-05-16 |
| 1154322907 | Kyle J Stoeckmann | Internal Medicine | 21300 N John Wayne Parkway, Ste 123, Maricopa, AZ 85239 | 2005-08-02 |
| Find all providers in zip 85239 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281547 | Lander Cabrera Marti | Emergency Medical Technician, Basic | 8225 E Redwing Rd, Scottsdale, AZ 85250-5629 | 2020-06-25 |
| 1659809028 | Stephen Jerome Smith | Emergency Medical Technician, Basic | 1826 W Mcdowell Rd, Phoenix, AZ 85007-1612 | 2017-05-30 |
| 1699184945 | Kristina Leigh Dunn | Emergency Medical Technician, Basic | 4776 E Guadalupe Rd Apt 2045, Gilbert, AZ 85234-7590 | 2014-08-11 |
| 1457631632 | Ponderosa Fire District | Emergency Medical Technician, Basic | 11951 W. Shadow Mountain Drive, Bellemont, AZ 86015 | 2011-08-19 |
| 1982923413 | High Country Fire Rescue | Emergency Medical Technician, Basic | 7052 N Pinon Pine St, Williams, AZ 86046-8826 | 2010-05-24 |
| 1568793958 | Caitlin Michelle Boyd | Emergency Medical Technician, Basic | 5239 E Paradise Ln, Scottsdale, AZ 85254-1145 | 2010-01-25 |
| 1528392602 | Alpine Fire District | Emergency Medical Technician, Basic | 42688 Highway 180, Alpine, AZ 85920 | 2009-09-23 |
| 1295911733 | Kim Tunell LLC | Emergency Medical Technician, Basic | 2081 W Us Highway 70, Thatcher, AZ 85552-5445 | 2008-01-15 |
| 1457531568 | Southern Yavapai Fire Department | Emergency Medical Technician, Basic | 9000 Magby Drive, Kirkland, AZ 86332-4022 | 2007-11-06 |
| 1013113018 | Mt Lemmon Rescue Recovery LLC | Emergency Medical Technician, Basic | 13170 N Oracle Control Rd, Mount Lemmon, AZ 85619 | 2007-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.